"NACsomes": A new classification system of the blood supply to the nipple areola complex (NAC) based on diagnostic breast MRI exams

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
Iris A SeitzLoren S Schechter

Abstract

Breast MRIs have become increasingly common in breast cancer work-up. Previously obtained breast MRIs may facilitate oncoplastic surgery by delineating the blood supply to the nipple-areola complex (NAC). The aim of this study was to identify and classify the in vivo blood supply to the NAC using breast MRI exams. Breast MRIs obtained over a one-year period were retrospectively reviewed. Patients with negative MRI findings (BI-RADS category 1) were included; patients with diagnoses of breast cancer or previous breast surgery were excluded. Twenty-six patients were evaluated. Dominant blood supply was determined by maximum filling at 70 s post-contrast. Blood supply to the NAC was classified into five anatomic zones: medial (type I), lateral (type II), central (type III), inferior (type IV) and superior (type V). Patient age ranged from 33 to 70 years. Fifty-two breasts were evaluated and 80 source vessels were identified (37 right, 43 left). Twenty-eight breasts had type I only blood supply, 22 breasts had multi-zone blood supply (type I + II, n = 20; type I + III n = 2), one breast had type II only blood supply, and a single breast had type III only blood supply. Anatomic symmetry was observed in 96% of patients. This study ut...Continue Reading

References

Jan 1, 1977·Journal of Surgical Oncology·L Cunningham
Dec 1, 1985·Plastic and Reconstructive Surgery·T R HesterS J Cunningham
Sep 1, 1995·Plastic and Reconstructive Surgery·H NakajimaS Aiso
May 16, 1998·Plastic and Reconstructive Surgery·E WüringerJ Holle
Jan 6, 2005·Aesthetic Plastic Surgery·Petrus V van Deventer
May 13, 2005·Annals of Surgical Oncology·Navneet KaurFrancesca De Lorenzi
Mar 30, 2007·CA: a Cancer Journal for Clinicians·Debbie SaslowUNKNOWN American Cancer Society Breast Cancer Advisory Group
May 15, 2007·Plastic and Reconstructive Surgery·Dan mon O'DeyNorbert Pallua
Mar 17, 2010·Aesthetic Plastic Surgery·H RysselR Reichenberger
May 31, 2011·Clinics in Plastic Surgery·Maurice Y Nahabedian
Jul 1, 2011·Journal of Reconstructive Microsurgery·Daniel Z LiuPeter C Neligan
Oct 23, 2012·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Kari A KeysDavid W Mathes
Oct 1, 2013·The Breast : Official Journal of the European Society of Mastology·Sylvia H Heywang-KöbrunnerStefan Sedlacek
Oct 12, 2013·CA: a Cancer Journal for Clinicians·Carol DeSantisAhmedin Jemal

❮ Previous
Next ❯

Citations

Mar 26, 2016·Clinics in Plastic Surgery·Ryan E AustinJamil Ahmad
May 18, 2016·Journal of the American College of Surgeons·Manisha BahlScott T Hollenbeck
Jun 29, 2016·Annals of Surgical Oncology·Cory A DonovanFarin Amersi
Oct 21, 2016·Aesthetic Surgery Journal·Edward TengStephanie L Kwei
Oct 21, 2016·Aesthetic Surgery Journal·Petrus V van Deventer
Sep 13, 2017·Plastic and Reconstructive Surgery. Global Open·Jordan D FreyNolan S Karp
Jun 28, 2019·Plastic and Reconstructive Surgery·Jordan D FreyNolan S Karp
Dec 15, 2018·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Michael A Cohen, Anna I Holbrook
Mar 13, 2019·Plastic and Reconstructive Surgery. Global Open·Jordan D FreyNolan S Karp
Jun 17, 2020·Plastic and Reconstructive Surgery. Global Open·Jordan D FreyVishal D Thanik
Apr 7, 2021·Aesthetic Plastic Surgery·P Niclas BroerPaul I Heidekrueger
Apr 22, 2021·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Ning DingZhengyu Jin
Jul 17, 2021·Tropical Doctor·Megha TandonChinta Mani

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Plastic and Reconstructive Surgery
Petrus V van DeventerFrank R Graewe
The British Journal of Surgery
A D Baildam
The Breast : Official Journal of the European Society of Mastology
Lena Carstensen, Janne Bigaard
© 2022 Meta ULC. All rights reserved